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10-0656 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10-00000656 Property Address: 53200 AVENIDA CARRANZA APN: 774-051-010-15 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 3282 Applicant: _ Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B Lic nse No.: 347697 t 7_ , 'A 1 Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury thaYI am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, �I ter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the I to A; a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Lai (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/16/10 Owner: WESTLOR HOLDINGS -LTD 52465 AVENIDA VALLEJO LA QUINTA, CA 92253 Contractor: EAGLE CONSTRUCTION 31855 DATE PALM DR, #3-5k C 2010 CATHEDRAL CITY, CA 92234JULJU V (760)285-4959 Lic. No.: 347697 W tAQUINT WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 238-0002307 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Co/jd, II all fo with comply provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property foi inspection purposes. Date: Signature (Applicant or Agent): LQPERMIT Application Number .. . 10-00000656 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 63.00 Plan Check Fee .00 Issue Date . . . . Valuation 3282 Expiration Date 1/12/11 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ---------------------------------------------------------------------------- Special Notes and Comments 140LF OF PROPERTY LINE BLOCK WALLS - 5' - ---------.H--MAX-WALLS-WITHIN'10-FEET-'OF--FRONT 'PL ------"--- PER CITY SPECIFICATIONS AND 6' H.SIDE PROPERTY LINE WALLS TO BE BUILT OVER EXISTING RETAINING WALL PER ENGINEERED SPECIFICATIONS. 2007 CALIFORNIA BUILDING CODE. _ July 16, 2010 8:48:40 AM AORTEGA ---------------------------------------------------------------------------- '' Other Fees. . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee -summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 63.00 .00 .00 63.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 64.00 .00 .00 64.00 fi14-5ON2y LOA. LL" 5/D6- Y,4e--b &44jz �3-2,co AvAr' 60, 0tY 1,)ALl- F E S SIO N. . C <51 CD No. 35727 rn wm cc Exp: V'C � z-vle. 0 MEMEM WE -7 -V=�95 tnPls( Ox I -Ops- - c 0, e5 C. 76L -6- 3 -1P, 79) apo �r��. �� �.i, oo Cs��/..�-s, �, /z Py � ��s� Z,T 0 ale"22- 5�(, x 0 x o,8S v�W41T - WIND' D 73 30 - rvp—, 13,36 x 0-95 x if .735500-:-. Joseph.N. Ciechini, P.E. Title: Job# P.O. Box 4206 Dsgnr: Date: Description: Palm Desert, Ca 92260 760-776-6687 Scope: Fax 760-346-3460 ��.: =r�:�; SSSS......_ .._.. _............... 1 r. f; .rc^: cri ,.'-..+1^ si k� r.. pr • �R e'a t Y§ ,c);•9ti�.?1�:e<.ERi:r.'_CE::,� r;.;t;�:wc`t.Y:xr_ �.>r��i ��et;'I'?�`w,f �'�_ Lc's.t �titl�,� be3if ;d,3��,3�.�{�i �,,,• Descriotion 53-200 Avenida Carranza Side Yard Criteria = 1.500.0 psf Retained Heigh - 200 ft Wall height above soil = 5.00 it Slope Behind Wall - 0.00:1 Height of Soil over Toe = 12.00 in Soil Density = 110.00 pct Wind on Stem = 14.8 psf ®2sit n St�nimary Total Bearing Load = 1,209 lbs ...resultant ecc. = 7.36 in Soil Data Allow Soil Bearing = 1.500.0 psf Equivalent Fluid Pressure Method Heel Active Pressure = 35.0 Toe Active Pressure = 0.0 Passive Pressure = 150.0 Water height over heel = 0.0 It Faafinc� Strengths & Dimensions fe = 2,500 psi , Fy = 40,000 psi Min. As % = 0.0014 Toe Width = 0.25 ft Heel Width = 2.25 Total Footing Width = Ew Footing Thickness = 12.00 in FootingiiSoil Friction = 0.250 _ Key Width_ 0.00 in Soil height to ignore = 1.5W psf Key Depth 0.00 in for passive pressure = 6.00 in _ Key Distance from Toe - 0.00 ft = 3.2 psi OK Footing Shear @ Heel Cover.@ Top = 3.00 in @ Btm.= 3.00 in Stem ConstrltcYiort Wall Stability Ratios Top Stem 2nd Overturning = 2.36 OK Sliding = 2.52 OK . Stem OK Stem OK Component NOT Used) Design height ft = 2.00 0.00 less 100% Friction Force = - 3022 lbs Wall Material Above "Hr = Masonry Masonry = 0.0 lbs OK Thickness = 8.00 8.00 Factored Pressure Rebar Size _ # 4 # 4 Mu : Downward Rebar Spacing = 3200 32_b0 Actual 1 Way Shear Rebar Placed at = Center Edge Toe Reinforcing Design Data Heel Reinforcing = #4@ 18.00 in Key Reinforcing fb/FB + fa/Fa = 0.358 oA69 . Total Force @ Section lbs = 74.0 144.0 Moment -Actual ft.#= 185.0 379.7 Moment..... Allowable ft-# = 516.2 809.1 Shear.... Actual psi = 27 25 Shear ..... Atlowable psi = 24.4 25.8 Soil Pressure @ Toe = 1,265 psf OK Soil pressure @ Heel = 0 psf OK Allowable = 1.5W psf Soil Pressure Less Thar, Allowable ACI Factored @ Toe = 1,771' psf ACI Factored@ Heel = 0 psf Footing Shear @ Toe = 3.2 psi OK Footing Shear @ Heel = 3.6 psi OK Allowable = 85.0 psi Wall Stability Ratios 28.64 Overturning = 2.36 OK Sliding = 2.52 OK . Sliding Cales (Vertical Component NOT Used) Lateral Sliding Force 231.5 lbs less 100% Passive Force = - 281.3 ibs less 100% Friction Force = - 3022 lbs Added Force Req'd = . 0.0 Itis OK ....for 1.5:1 Stability = 0.0 lbs OK �MFo ting Design results . • ...`Heal 'Toe Factored Pressure = 1,771 0 psf Mu' : Upward = 143 242 ft41 Mu : Downward = 32 793 ft-# Mu: Design = 111 552 ft-# Actual 1 Way Shear = 3.17 3.55 psi Allow 1 -Way Shear = 85.00 85.00 psi Toe Reinforcing = # 4 @ 18.00 in Heel Reinforcing = #4@ 18.00 in Key Reinforcing = None Spec'd Bar Develop ABOVE Ht. in = .20.00 20.00 .Bar Lap/Hook BELOW Ht. in= 20.00 6.00 . Wall Weight psf = 58.0 84.0 Rebar Depth 'd in= 3.81 5.25 Masonry Data = No I'm psi = 1,350 1,500 FS psi = 20,000 20.000 Solid Grouting = No Yes Special Inspection = No No Modular Ration' = 28.64 25.78 Short Term Factor = 1.330 1.330 Equiv. Solid Thick. in = 4.90 7.60 Masonry Block Type = Normal Weigh Concrete Data fc psi = Fy psi = Other Acceptable Sizes & Spacings Toe: Not req'd, Mu < S' Fr Heel: Not req'd. Mu < S' Fr Key. No key defined .OF LA QUINTPT. CITYNG & SAFETY DE . .TRuCT10t4 FOR I DATE Joseph N. Cicchini, P.E. Title: Job P.O. Box 4206 Dsgnr: Date: Palm Desert, Ca 92260 Description 760-776-6687 Scope: Fax 760-346-3460 F Canibleverad R"ataining 10.1all D"esign Description 1 53-200 Avenida Carranza Side Yard L`-':ummary of Overturning & Resisting Forces & Moments ..... OVERTURNING..... RESISTING..... Force Distance M Fomlw— DistanceMoment Rein lbs ft ft -0 ft ft ft-# Heel Active Pressure ISTS 1-00 157.5 Soil Over Heel = 348.3 1.71 595.1 Toe Active Pressure Surcharge Over The Adjacent Footing Load Added Lateral Load. Load @ Stem Above Sad = 74.0 5.50 407.0 Seisrnicl-oad TOW 231.5 G.TJL = 554.5 Resisfing0vartwming i = 2.36 vertical Loads used for son Pressize= 1,208.8 ibs vertical component of actimWessure NCTused t&sa pressum Sloped SaflOver Heel Surcharge Over Heel Adjacent Footing Load Axial Dead Load on Stem Sail Over Toe Surcharge Over Toe Sbarn Weights) Earth @ Stein Transitions Marg Weight Vey Weight Vert- Compmerl Tcgd 0.00 27.5 0.13 3.4 458.0 0.58 267.2 375.0 1.25 468.7 1208.8 lbs R.M. 1,334.4 61F- LA QU' PT CJ -Ty SAFETY DE 1301LI)ING & � PRONJED Al cot4sl'suc-TION FOR BY OATS WORK OF THIS PLAN. �QCZ iy _ TYPICAL CALLOUT: 8" X 8' X 16' CMU BLOCK (NOMINAL DIMENSIONS) 1 WORK OF THIS PLAN. - t W OV.PR G'f U; LENGTH - - -- --- --- T. F 4ekk W ALL, D 2 - aG ALL BAR CLEARANCES FROM OUTSIDE FACE OF BLOCK T 1 �C? At 51W ; NO SCALE . Cdi�' ". �. _ • _. _ce�NG•8t.ocx.. -:�'1'•ijtulG�.i fill i avt;tza s QRQ E E S S/0 t�f la �� n► i �c N N Cl Nil - - d w`t..�. Q cC _53-1 J tom' c��c`tt. ppAG9 1 'o" �LA1G,P[trivAPS. S Il _.l(oO ��7 4 O jI rn r% ti VCAW VQt[ieh 'No. Nof�t 2 (_ L�11wr�r17 eeg-2,0 � Delubri&4 - ; U -1f+. L�atoxar�t; 7bo �3.s_us.. , . 35727 m t rn m Exp- Gz4 -7 CITY OF LA QUINTA s� CIVI` BUILDING & SAFETY DEPT. 9TF0F CAL\F��� MORTAR CAP APPROVED7 -15 -/e9 MORTAR CAP FOR CONSTRUCTION #4024" IN BOND BEAMS I I 1 /M 1 8x8x16 CMU, w/#4-` VERTICAL REBAR032"o.c. CENTERED IN GROUTED CELLS 53-200 AVE CARRANZA EMBED 24" MIN INTO EXISTING -� GROUTED CELL. SET WITH SIMPSON SET -XP EPDXY TIE ADHESIVE PER ICC -ESR -2508. SPECIAL INSPECTION REQUIRED EXISTING 8x8x16 CMU,- SOLID MU-SOLID GROUTED EXISTING WEEPHOLES016"o.c MINIMUM EXISTING TOE, VERIFIED IN FIELD EXISTING GRADE 3 GRADE DATE 1 53-220 AVE CARRANZA EXISTING #4032" IN -WALL IN GROUTED CELL. VERIFY O IN FIELD, AND NOTIFY I ENGINEER.. N EXISTING FOOTING SIZE TO BE VERIFIED IN FIELD PRIOR TO CONSTRUCTING CMU EXTENSION. L_____J 2'-3T' %1 MASONRY WALL DETAIL S3.3 SCALE: J"=1 ' -0" #4024" IN BOND BEAMS 8x8x16 CMU, w/#4-` VERTICAL REBAR032"o.c. CENTERED IN GROUTED CELLS 53-190 AVE CARRANZA EMBED 24" MIN INTO EXISTING GROUTED CELL. SET WITH SIMPSON SET -XP EPDXY TIE ADHESIVE PER ICC -ESR -2508. SPECIAL INSPECTION REQUIRED EXISTING 8x8x16 CMU SOLID GROUTED EXISTING WEEPHOLES016"o.c EXISTING GRADE---,, MINIMUM EXISTING VERIFIED IN FIELD W o W 1 O Q LP) _ C9 W _x Q ,--EXISTING GRADE F_ _ I _J I N L_____J 2'-3" GENERAL NOTES: 1. ALL WORK SHALL CONFORM TO APPLICABLE PROVISIONS OF THE CALIFORNIA BUILDING CODE - 2007 EDITION. DESIGN CRITERIA: 1. SOIL DESIGN CRITERIA: ALLOWABLE BEARING PRESSURE - 1,500 PSF (18" MIN. EMBEDMENT) EQUIVALENT FLUID PRESSURE - 35 PCF (LEVEL BACKFILL) COEFFICIENT OF FRICTION - 0.25 PASSIVE PRESSURE = 150 PCF (LEVEL SLOPE) SOIL DENSITY - 110 PCF 2. WIND LOAD DESIGN CRITERIA BASED ON ASCE 7-05: BASIC WIND SPEED V - 85mph TOPO FACTOR Kzt-1.0 WIND DIRECTIONALITY FACTOR Kd-0.85 IMPORTANCE FACTOR -1.0 VELOCITY PRESSURE-qh-0.00256KhKztKdV21=0.00258x0.85xlxO.85x(85x85)x1=13.36psf CI=1.30, 8=60'. s=5', s/h=?,=1.0, B/s=O =12 G-0.85 MAXIMUM HORIZONTAL PRESSURE=P=ghGCf=13.36xO.85x1.30=14.8psf REINFORCING STEEL: 1. REINFORCING STEEL SHALL BE DEFORMED BARS, CONFORMING TO ASTM A615, LATEST REVISION AND SHALL BE GRADE 60. 2. REINFORCING IS TO BE SECURELY TIED IN PLACE PRIOR TO CASTING CONCRETE OR PLACING GROUT. 3. VERTICAL REINFORCEMENT TO BE HELD IN PLACE AT TOP, BOTTOM AND INTERVALS NOT EXCEEDING 200 BAR DIAMETERS. MASONRY: 1. MORTAR SHALL BE TYPE M OR S AND SHALL BE FRESHLY PREPARED AND UNIFORMLY MIXED IN THE RATIO BY VOLUMES OF 1 PART CEMENT, 1/4 PART LIME PUTTY, 3 PARTS SAND AND SHALL CONFORM TO CALIFORNIA BUILDING CODE - 2007 EDITION. 2. GROUT SHALL BE FLUID CONSISTENCY AND MIXED IN THE RATIO BY VOLUMES OF 1 PART CEMENT TO 2 1/4 PARTS MINIMUM TO 3 PARTS SAND. GROUT SHALL ATTAIN AN ULTIMATE COMPRESSIVE STRENGTH OF 2,000 PSI AT 28 DAYS. BLOCKS SHALL BE GROUTED IN 4' MAXIMUM LIFTS. 3. CEMENT MASONRY UNITS (CMU) SHALL BE GRADE N MEDIUM WEIGHT UNITS CONFORMING TO ASTM C90, LATEST REVISION WITH A MINIMUM COMPRESSIVE STRENGTH OF 1,900 PSI FOR A MASONRY DESIGN STRENGTH (f'm) OF 1,500 PSI. 4. BLOCKS SHALL BE: 8"x 8"x 16" 5. ALL BLOCKS SHALL BE LAID TO MAINTAIN VERTICAL CONTINUITY OF THE CELLS TO BE FILLED SUCH THAT THERE IS A CONTINUOUS UNOBSTRUCTED VERTICAL CELL MEASURING NOT LESS- THAN 2" X 3". BLOCKS SHALL BE LAID IN RUNNING BOND. 6. LOOSE MORTAR FAWNG INTO ANY CELL THAT CONTAINS VERTICAL- REINFORCING STEEL SHALL BE REMOVED PRIOR TO GROUTING CELLS. CONCRETE 1. ALL CONCRETE SHALL CONFORM TO THE LATEST EDITION OF THE 2007 CALIFORNIA BUILDING CODE- 2. ODE2. ALL CEMENT SHALL CONFORM TO A.S.T.M. C-150, TYPE I OR 11, LOW ALKALI 3.- FINE AND COARSE AGGREGATE SHALL CONFORM TO A.S.T.M. C-33 FOR STANDARD WEIGHT CONCRETE. 4. ALL AGGREGATE SHALL BE COMPARABLE TO "SAN GABRIEL VALLEY AGGREGATE. THE SHRINKAGE SHALL BE AS PER A.S.T.M. C-33 WITH THE AVERAGE DRYING SHRINKAGE AT 53-200 AVE CARRANZA 28 -DAYS OF DRYING NOT EXCEEDING 0.04%. 5. ANCHOR BOLTS, DOWELS INSERTS, ETC. SHALL BE SECURELY TIED IN PLACE PRIOR TO POURING CONCRETE. B. CONCRETE SHALL BE CURED BY KEEPING CONTINUOUSLY WET FOR 10 -DAYS OR BY AN APPROVED CURING COMPOUND. 7. ALL CONCRETE SHALL HAVE MINIMUM COMPRESSIVE STRENGTH OF 2500 PSI AT 28 -DAYS, UNLESS NOTED OTHERWISE. THE WATER TO CEMENT RATIO SHALL NOT EXCEED 6 1/2 -GAL PER SACK OF CEMENT. MINIMUM OF 5 SACKS OF CEMENT PER CUBIC YARD. MAX. SLUMP - 4" REINFORCING STEEL 1. ALL REINFORCING SHALL BE A.S.T.M. A-615 GRADE 60 EXISTING #4®32" IN WALL E EGROUTED A. ALL REINFORCING TO BE WELDED SHALL BE OF A WELDABLE GRADE SUCH AS ASTM A706. IN CELL. VERIFY Q tO IN FIELD, AND NOTIFY 3. USE LOW HYDROGEN ELECTRODES, GRADE E-70 FOR WELDED ENGINEER. REINFORCING BARS. U 4. ALL REINFORCING SHALL BE SECURELY TIED AND BRACED IN EXISTING FOOTING SIZE TO BE VERIFIED FIELD PLACE PRIOR TO POURING CONCRETE OR PLACING MASONRY. g, REINFORCING BARS MARKED CONTINUOUS SHALL BE SPLICED PRIOR TO CONSTRUCTING WITH A MINIMUM LAP OF 55 BAR DIAMETERS IN MASONRY -r CMU EXTENSION. AND 30 BAR DIAMETERS IN CONCRETE 2 MASONRY WALL DETAIL S3 , 3 SCALE: J"=1 ' -0" S. PROVIDE THE FOLLOWING MINIMUM COVERING OF CONCRETE: BELOW GRADE (UNFORMED).......................3" CLR. BELOW GRADE (FORMED)...........................2" CLR. JOSEPH N. CICCHINI, P.E. P.O. BOX 4206 PALM DESERT, CA 92261 TEL: 760-776-6687 FAX: 760-346-3460 _J _J Q Q tO z zN < N LTJ LTJ U UQ (� U W QQ z O oz Q O� 0 In Q 1 ORxON& SEAL AND RED INK SIGMA RE OF JOSEPH N. CIO:HINI, P.E. APPEARS NO PART THEREOF OF THIS PLAN 5�yAA11�L RE REPRODUCED. CORED, ADAPTED. DISCLOSED OR DETROUTED TO OTHERS: OR/SOLD, PIJMJS 1EO OR OMERWISE USED;N7MOUT THE PRIOR WRITTEN OONSENT,OF AND APPROPRIATE COMPENSATION TO JOSEPH N. CICCNINI, P.E. VISUAL CONTACT WITH TNR PIAN, SPECIFICATIONS OR DETAILS SMALL GOxSxiNE CONCLUSIVE JM004CE OF ICCFYUNCE OF THESE/RESTMCTIOMS Revisions: No. Date Revision Sheet Description: SITE PLAN DETAIL PLAN Scale SHOWN Drawn JNC Checked Date 07-09-10 Project# 2010-018 S3.3 Sheet 1 of 1 IT ITY OF LA.OUINTAI U B . DING & SAFETY DEPT D PPROVED :fF:0 'CONSTRUCTION DATE, eF 11 A lip MM,gh 0.2 cWS- M--.' 6=G 'g -4PM W*VA �MAMOR 4�v (::7(z -A�i\1A1,t�5 T� ....hP�U'Fl�tt7t�i� C��"�"�ttLD _ 'Di 10lifzp F'R: K--(- Bin # City. of La QuInta Building &r Safety Division P.O. Box 1504,'78-495 Calle Tampico La Quinta,.CA 92253 - (760) 777-7012 Building Permit. Application and Tracking Sheet ' Permit # W -6456 Project Address: Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Telephone: >;?z<. >::•»:;:°::.':::; << >Y<_: v:<; Address: 3 % 7 _ D Project Description: City, ST, Zip: Telephone'. .:.:::.:::..:y<_:.>:<:>rr;:> IQ 2i 2, OcT 7o State Lic. #: 71j City Lic. #: _ l aD l Arch., Engr., Designer: Address: / `/2,) ZA - zA� e &A Fs!. City., ST, Zip: Telephone:. State Lic. #: XX. `.s;:'4'N'>:. `.'> ConstructionT e: Occupancy: yP P cy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person:&ali',Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: Q (j Estimated Value of Project: . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit ^ Truss Cates. i Called Contact Person Plan Check Balance. r� Title 24 Calcs. Plans picked up Construction fir Flood plain plan Plans resubmitted Mechanical i. Grading plan 2°' Review, ready for correctionslissue Electrical +� Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval i Plans resubmitted Grading IN HOUSE:- 3'd Review, ready for correctionsfissue Developer Impact Fee ..•. Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue �� t School Fees . Total Permit Fees